| NPI | 1568818383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR LONG CFO 908-447-0931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-05-11 |